| NPI | 1669714267 |
|---|---|
| Doing Business As | KPM SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANTONIO TOMLINSON Pharmacy Manager 240-619-3407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336S0011X Pharmacy, Specialty Pharmacy (Licence: MD PW0376) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| Enumeration Date | 2013-03-21 |
| Last Update Date | 2013-03-21 |